Work Search Log Template
ADVERTISEMENT
1
2WORK SEARCH LOG
NAME:
LAST FOUR OF SSN:
YOU ARE REQUIRED TO MAINTAIN AN ACTIVE LOG FOR EVERY WEEK YOU CLAIM BENEFITS.
YOU MAY BE ASKED TO PROVIDE A COPY OF YOUR WORK SEARCH RECORDS AT ANY TIME.
FAILURE TO DO SO WILL DELAY OR INTERRUPT YOUR UNEMPLOYMENT BENEFITS.
***PLEASE COMPLETE THIS FORM IN AS MUCH DETAIL AS POSSIBLE TO ENSURE THAT YOUR WORK SEARCH ACTIVITY
CAN BE INDEPENDENTLY VERIFIED.***
1. WEEK BEGINNING SUNDAY
/
/
THROUGH SATURDAY
/
/
DATE OF
EMPLOYER
CONTACT NAME
RESULTS OR FOLLOW---
METHOD OF
POSITION
CONTACT
NAME AND ADDRESS
AND TITLE
CONTACT *
UP ACTION
SEE CODES
URL:
Phone:
Job #:
Conf Email Rcvd
URL:
Phone:
Job #:
Conf Email Rcvd
2. WEEK BEGINNING SUNDAY
/
/
THROUGH SATURDAY
/
/
DATE OF
EMPLOYER
CONTACT NAME
METHOD OF
POSITION
RESULTS OR FOLLOW---
CONTACT
NAME AND ADDRESS
AND TITLE
CONTACT *
UP ACTION
SEE CODES
URL:
Phone:
Job #:
Conf Email Rcvd
URL:
Phone:
Job #:
Conf Email Rcvd
REV 7/2012
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Miscellaneous